8579 SW LUCILLE COURT � f�,;: «�` p(�lr`+,SW l� �N'1m"�'¢�{��','�e. e '`y,�5,� t ,:,t�'`MN���R'':WnM�, �A!R�N � tMIM1�•� '•
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City of Tigard Building Departaent:
13125 SB Ball Blvd. Tigard. Oregoo 97223
Inspection Line (ROC-0-P ono):, 639-417K Buaine,'s Phone: 639-4171
Inspect ion t___
FootingPlbg. Underalab Mach. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINALLLLLLLLLI
B1
Post/Beam Strutt. San. Sewer Framing ��_ g• ,
Insulation -I'1�•
rf Post/Beam Mech. Rain Drain — 11
Plbg. Underfloor Nater Line GYP•
Bd. -MeCh. J
y7 Timet AM PN
T, Date Requestedsq
A6drese s I (_ I.,.C+ ( 0—c�_� __ Permit Is(JO. a �
s t., Bu i ider ei 1. l ��— /Z' 1 /' .
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TBE FOLUDWYNG CORRECTIONS ARE REQ[zIABD:
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APPROVED APPROVED SUB.TECT TO ABOVE
Call For Reinsp.
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CITY OF TIGARD
GE'RTIFICAT[:. OF �
COMMUNITY DEVELOPMENT DEPARTMENT OCCUPANCY
13125 SW Hall Blvd.'rigard,Oregon 97223.8199 (503)839-4171 PERMIT #. . . . • . . I MST93-0040
639-4171 DATE ISSUEDI 08/16/93
i
PARCELS 1 S 1 35DD—L.I,G4ae
;ITE ADDRESS. . . : 08579 SW LUC I LLE CT CIN I NC31 I
SUBDIVISION. . . . I 1..UC I LLE ■
BLOCK. . . . . . . . . . I LOO.. . . . . . . . . . . . . I
� CLASS�OF�WORK, INEW....__._,_____.__.._..._.._._-.__._....__._._.__.__..._.__._._._....�_._.._._.
TYPE OF USE. . . I SF
■
OCCUi"`ANCY GRA. I R3 1�
OCCUPANCY LOAD 1223 4
TENANT NAME. . . I ■
Remarksl PPTH 8
NORTHLAND HOME'S
1834 SW 58TH
PORTI...AND OR 97221
Phone Oil 292-•'3975 "
I
NORTHLAND HOM17S
1834 SW !38TH
PORTLANV OR 97't2,1
Phone MI 292--23975
rteg tb. . s 137 :7
Ocr_upr ;l:y of the ataove refer enc:ed builciiny i hereby given., and c: er tifilal+
the Lompiiance with the St Ate of Or••e[Ion 3pecialty Code19 for the gr-ours, j
arcupancy, and t.1se i-ender, which the referenced permit wOF issued.
F I RE DEPARTMENT B1.1 DINARI,-
EC'TOR
_ _._ ...._ .._ H TIL )INCA OF - ICIAi.
POST IN CONSPICUOUS PL ACIF
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City of Tigard Building Departaent ! Ly_" ------
13125
'33125 gA Hall Blvd. Tigard. orenen 97223
Inspection Line (Rec-O-Phones 639-4175 Bvsiness Phonal 639•-4171
inspections
rooting Plbg. Undarslab Hoch. Rough-in /A�ppr/Sdwlk
round. Plbg. Top Out Cas Line FINALS)
Post/Beam Struct. San. Sewer Framing Ldg.) •
post/Beam Mach. Rain Drain Insulation --Plumb.
Plbg. Underfloor /1"star Line cyp. Bd. -Hoch.
Data Regaestode
I� Times AH �lPIR
Mdresrs
T > I �.-1 l cl�.` 1...1 . Permit #1
) - ■
Builders
THIt VOLI.OWINO OORRECTIONS ARE REQUIRED'
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Inspecr7�-r — __ Dates_
/ APPROVED DISAPPROVED APPROVED SUBJECT TO
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Call For Reinap. i
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TNSPECTION NOTICE
I i
City of Ticjard Building Department
13125 SW Ball. Blvd. Tigard, Oregon 97223
Inepectio• Line (Rec-O-Phone): 639-4175 Bus'ness Phone: 639-4171
m lnspectic:n:-___
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Fcond. Plbg. Top G.it Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mach. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch.
Date Requested:-_ / Timet AM
Address: 95 C l /d Com~ Permit #t
Builder: •
THE FOLLOWING CORRECTIONS ARE Ri IREL:
-Z e
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Inspector:_ — -- - — Date.
APPROVED DISAPPROVED — APPROVED SUBJECT TO ABOVE
----- Call For Reinsp.
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INSPECTION NOT CE
City ,! Tigard Building Dapartaent
13125 .w Hall Blvd. Tigard, Oregon 97 223
`n�
Inspection
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Line (Rec-O-Phone): 639-4175 Business Phones 639-47.73.
Inspections_,
Footing Plbg. Underslab Hoch. Rough-in Appr/Sdwlk I
Found. Plbg. Top Out Gas Line FINALS
Post/Beam Struct. San. Sewer Framinc, -Bldg. t
IPort/Beam Meeh. Rain Drain Insulation Plumb.
Plbg. Underfloor Nater ':. a Gyp. ed. -Nech.
Date Requesteds L`7 —Timet / AM _QPM
Addrear: �l ` Permit
Builder: _
THE FOLLOWING CORRECTIONS ARE REQUIRED:
nrpector: —� — .at
PPPR0VZD DISAPPROVED -� APPROVED SUBJECT TO ABOVE
Call For Reinrp.
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x. NZ SPECTION NOTICE / � •
city of Tigard Building Depart_nt
12125 SN Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
7napectlOtt: _ --- -
Foot ung
Plbg. Underslnb Mech. Hough-in Appr/Sdwlk
Found. Plbg. Top Out
Gas Line FINAL:
in
Post/Beam SL-ruct. San. Sewer Framing -Bldg.
a' Post/Beam Mech.• Rain Drain
Inaulation -plumb.
1
Water Line GYP BJ.
-Koch.
Plbg. Underfloor
_ Time: --AM ----PM
(late Requested:__ /w )) p�
Address: _�—
nuilder:_�
THE FOLLOWING CORRECTIONS ARE REQUIRED: -
- AA C'e-, - ---
y 14 ^LE '
Inapctor:--_--_---.- Datet
ee —
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_APPROVED DISAPPROVED APPROVE�I SUBJECT TO AEOVF.
-- -- -
Call For Reinsp.01 ,S'
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INSPECTION NOTICE
City of Tigard Building Department_ Y
13125 NR Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rea-O-Phone)s 639-4175 Business Phone: 639-4171
Inspectia.. s—
Footing Plbg. Underslab Mech. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gaa Line FINAL: I
Post/Beam Struct. C.fian,_SewerFr) ring -Bldg.
1
Post/Beam Hoch. Rain Drain Insulation -Plumb,
Plbg. Underfloor Hater Line Gyp. Ed. -Hoch.
i 1
Date Requested: / _/---__Times _AM r1 PH
Address: R'S- 79 ��
�,,r/tC ��
// Permit
Builders o2%fi/(f ii�i7 �
THE FOLLOWING CORRECTIONS ARE RUQUIRED:
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Inspectors
Date:
PROVED
AP
_^ DIBAPPkOVED APPROVED SUBJECT TO ABOVE
!yrslr I�ei,k� 1 Cell For Reinsp.
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INSPECI.'ION NoTigg.
City of Tigard Building Department �
13125 BO Ball Blvd. Tigard, Oregon 972
Inspection Line (Rec-O-Phone: 639-4175 Business Ph n 639-4171
Inspections_
1
Footing Plbg. Undesalab Rech. Rough-in Appr/Sdwlk I
Found. Plbg. Top Out Gas Line FINAL:
Post/Beam Struct. San. Sewer Fri i.ng -Bldg.
Post/Beam Hoch. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater LineOyp. ad. 1 -Mach.
Date Requested: Tlmes A 11M PM
Address s '�� ! Perloit 6 t'
Builders
iTHE FOLLOWING OORRECTIOMS ARE REQUIRED: - y
Inspector , i Dates Z 7
—�
PROVED DI;4APPR7VED XPFROVED BUHJRCI TO ABOVE
—_Cal.i For Reinep.
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INSPECTION NOTICE
City of Tigard Building Departmsmt i
13125 BM Hall Blvd. Tigard, Oregon 97
Inspection Lina (Rec-O--Phone): 639-4175 Business�-Phone: 6639y13?I-
Inspection:__
Footing Mg. Undesslah Mech. Rough-in Appr/Sdwlk
Found. Mg. Top Out Gas Line FINAL:
Post/Boom Struct. Ban. sewer Framing -Bldg.
Post/Beam Mach. Itain Drain neulation ) -Plumb.
Plbq. Underfloor Water Line 1 Gyp. Bd. -Mech.
� ■
Dat+ 4eouesteds S - `-s Tine AM PM
Address: / l Permit ft
Builder:
TBE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: _—_ _ Dates �1 Z
APPROVED DISAPPROVED APPROVED SUBJ'fCT To ABOVE J
call For Reinsp.
.r,riawMYIOINVM'u.�.I..Mbra,MAk,1MYLL.NVR4NW'.TM(MkttYYHR+IWIk.+.ia.¢•.uw„ .�:r.b.:v++...::9'fRi_T.'l l:' .:'1"71i1i�ffi7.�Y•Vi1#s�..:a ygHtM�•"n..Y•rM r•n..+n.....+xrw..w ....
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City of Tigard Building D"rtment
13125 811 Hall Blvd. Tigard, Oregon 97223
t�'
Inspection Lina (Roe.-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Plbg. Underalab h \` Appr/bdwlk
Found. Plbg. Top Out Gas Line FINALt !
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Br..,.: Nech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line 3yp. ed. -Hooch.
L�
Data Roquestoods �> Z , Times AH cPx
AddLasa: (L� 1 Pereit to a--?, � ��s f y •
Builder
TEM POLLOWING C)RRECTIUIRSD: —-
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InspectI"PROVZD
DISAPPROVED ---` APPROVRD SUBJECT To ABOVE
Call For Reinsp.
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INSPKCT_ON ggTICE
City of T19s.rd Building Depart—Amt
13115 811 Hall Blvd. Tigard, Oregon 97223c
Inel. ,rtion Line (Rec-O-Phone): 639-4175 Business Ph 639-4171
Inspection:
Footing Plbg. Underalab Hoch. Rough-ln Appr/Sdwlk
Found. P1bg. Top Out -as Line FINAL:
Post/Beam Struct. San. Sewer Framing -Bldg.
Post/Beam Hach, Rain Drain Insulation -Plumb.
Plbg. Underllot-, Nater Line Gyp. Bd. -Hoch.
Date Requested:_ "i V /, _Time: __AM __PPM
Ae*lress: LL,L(h i L C. Permit V—S -e,0s
Builder: _— —
THE FOLTOWING CORRECTIONS ARE RRQUIRRD:
Aimee -,°�s'T S-�6'�'I�CyP,
6te of,, /
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OZ US 5 7`/cam ���5 '��. ��: r�.5�����zC'r���'�'sS(U
SES Q 3A-_ s, /AZ
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Inspector:
APPROVED UIBAPPROVRD APPROVED SUBJRCI' TO AEONS
Call For Reiusp.
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WA;
INSPECTION NOTICE
Z, L
%-Itp of Tigard Building Departrent
13125 SW Ball Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phones 639-4175 Business Pho:_a: 639-4171
Inspections_ ----
Footing Plbg. Underelab l Mech. Rough-in Appr/Sdwlk.
Found. Plbg` Top Gas Line FINN.:
Post/Beam St nict. San. Sewer Framing -Bldg.
Post/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Nater Line Gyp. Bd. -Mach.
Data Requesteds J 3 Timet __ AM PM
1
Addreses '�C l ' Permit #s C!.-3— e/ 7 k-
Builders — 4
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspectors �/Z - v Date:
1
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinep.
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INSPECTION NOTICE
City of Tigard Building Department
131.25 :fit Hall Blvd. Tigard, Oregon 97223
Inspection Line (Rec-O-Phone): 639-4175 B,,ninees Phene: 639-4171 i
Inspection: //�iG/� �iC�j/�N/�
Footing Plug. Underelab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line FINAL:
Poet/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Mech. Rain Drain Insulation -Plumb.
Plbg. Underfloor Water Line Gyp. Bd. -Hoch. -
Date Requeeted: __ _ Tiw: _ AM _PM
Address:_ ( / Z /�(s C �T Permit f:_
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
9420
e
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Inspector: — �y
Date:.�s 1
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
`Call For Reinqp.
1
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qpINSPECTION NOTICE
City or Tigard Building
13125 BO Ball Blvd- Tigard. Oregon
I
Inspection Line (ROC-O-Phone)s 639-4175 Business Phones 639-4171 �
Inspection: — —
looting Plbg. Underslab Mech. Rough-in Appr/Sdwlk
1
,Found.__-- Plbg. Top Out Gas Line FINAL: I
/}o t� /Beam Struct. San. Sewer Framing -Bldg.
7stt`/BeBesm_Hach. Rain Drain Insulation -Plumb.
bq. Ondertloor .1 Mater Line oyp. Rd. - ech.
Date Requestedf L D Times AM ---PM
Address: �,"� / lL L Permit f:
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
LL
Zn I I VA
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Inspsetes:_ Dater
APPROVED _ DISAPPROYEB APPROVED SUBJECT TO ABOVE
.. all For Reinsp.
4
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CITY OF TIGARD
OREGON
March 22, 1993
•
Northland Homes
10211 SW Barbur Blvd. , Room 202
Portland, OR 97217
Re: Lucille Subdivision
k
This letter is to confirm previous conversations with
h the
bildng
inspector from the City of Tigard, with Larry, representative
j from Northland Homes.
The following are minimum requirements due to the type of soil
conditions found on-site, and the way construction methods are
being employed installing utilities, streets, etc. , at the same
time that footings are being constructed, which is resulting in a
large amount of undesirable soils, rock, etc. being moved and
deposited randomly on the job site.
• All lots are required to be tested by an independent test lab
showing soils will meet minimum standards (UBC 1 & 2 family
Code.
Also, footings already poured on Lot #1 appear to be substandard
with poor consolidation of concrete; poured without proper forming,
eLc. This footing will also need to be tested to meet minimum
standards of 3,000 psi.
Tom Plescher
Building Inspector
br/NorthtwW.ltr
d,
1 �
INSPECTION NOTICE
city of Tigard Building Deparbwnt
13125 S! Ball Blvd. Tigard, Oregon 972
1 Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-•4171
I
Inspection:
too ing / Plbg. Underslab Mech. Rough-in Appr/Sdwlk `
I� Fou Plbg. Top Out Gas Line FINAL:
1
Post/Beam Struct. San. Sewer Framing -Bldg.
Poet/Beam Hoch. Rain Drain Insulation -plumb.
f Plbg. Underfloor water Line Gyp. Bd. -Hoch.
Date Requested: 3 // _ Time: H PN
C� `UUP
Address:. � Permit /:
Builder:
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THE FOLLOWING CORRECTIONS ARE REQUIRED:
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Inspector: Date:
\ APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.
CITYOFTIFARDPLUMBINU PERMIT
COMMUNITY DEVELOPMENT DEPARTMENT
i
k FERN I T #. . . . . . . .. IYI5T93-0048
CmT
131M BW hWI Blvd.P.O.Bac 23307,TOW.Oregon 07223(603)&394176
SITE ADDRESS. . . v'_8l 57'3 SW LUC I LI_E CT PARCEL: 1 S 135DD-.t_U(,O,? c
SURD I V 15 I ON. . . . : LUC I LLE Z ON I NG:
BLOCK. . . . . . , . . . : LOT • .:
CLASS OF WORK. . :NEW GARBAGE D I SI!JOSALS. . : 1 ■
'T'YP'E OF- USE. . . . :SF WASHING MACH. . . . . . . : 1 BACKFLOW PRE:VNTRS. . :LI
OCCUPANCY GRP. . :R3 FLOOR DRAINS. . . . . . . :0 TRAP'S. . . . . . . . . . . . . . :0 f
STORIES. . . . . . . . :2 WATER HEATERS. . . . . . : J CATCH BASINS. . . . . . . :0
F I XT U LAUNDRY I HAY'S. . . . . . :0 SF RAIN DRAINS. . . . . : 1 ■
SiAKS. . . . . . . . . . : 1 GREASE TRAPS. . . . . . . :0
L_AVATORIES. . . . . :2: O FHFR FIXTURES. . . . . ..0
TUB/SHOWERS. . . . : SEWER LINE (ft) . . . . :0
■
WA1ER CL0SF'fS. . ::' WATER LINE ( ft) . . . . : 100
DISHWASHE:RS. . . . ; 1 RAIN DRAIN (ft ) . . . . :0
Remarks : ("ATH 8
OWNER; i
4 NORTHLAND HOMES TIF $ 1%►x+0. 00 JH 02/IiZr/9.:3 _ 4
1834 SW 58TH NPRT $ 315. 00 J'F1 02/10/93
BPL_C $ 205. 40 JH 02110/93 -
PORTLAND OR 97221 BCJPC $ 15. 60 JH 02/10/93 -
Phone f#: 292-3975 SSDC $ 280. 00 JFK 02/J.0/93 -
PPRK $ 500. 00 JH 02110193 - r
Plumbing Contractor ;__.....___._..._.._..__.__....._._-__.___ 11PRT $ 37. 50 JH 02/10/93 -
MPLC $ 9. 3H ,JIA 02/10/9;Name :-, T,&,m.,/J�,l't • M5P'C $ L. 68 JH 02/10/93
Address :�/ �s ? ..__ zlzt _ P'F'RT $ 1 10. 00 JH L 1�/9�
City : i,r �r.. tate :-- — - f-'`r(='C $ i. �i kl .J I-I 02/1171/93
Zip: Jz. �'h o n e#;
Rey #
_._.----_.....__. REQUIRED INSVILC:TIONS
This permit is issued subject to the reg -
ulations contained in the "ligard Municipal Foot/found Insp Rain drain Insp j
Code, State of Ore. Specialty Codes and all Post/Ream atruct Water Line Insp
Other applicable laws. 011 work wi .l. l be done Post/beam Mechan Appr/Sdw.lk Insp II`
in accordance with approved plans. This Plm/r_indslab Insp Mechanical Final 1
permit will expire if work it: not started PLM/Underfloor Plumb Final
within 1.80 days of issr.iance, or if work is Mechanical Insp BIJi1diny Final
suspended for more than 180 days. Plumb Top Out Erosion Control
Framing Insp trawl Drain
F=ireplace Insp
,w d1
Lias Line Insp
I n s u l a t: i n n Insp
Gyp Board Insp
Au• ori ted F•'1 binGr f..ontr actor Signature _
Call for inspection - 639-4.175
Contractor Notes : E
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7 �
MASTER PERMITcCITYOFTIFARDMy TWI E.
COMMUNITY DEVELOPMENT DEPARTMENT o�n FEWRIYITT' • • • • • • 15T9 3-0048
19126 BW W Bbd. P.O.Bax 23387,Tipvd,Oregon gr (603)630-4176
I'IQTI T451IC'r) 171 i..LlkJ4
' J
SITE ADDRESS. . . : 08579 SW LL.KIIi_LL. L.T. PARCEL: 15135DD—I_UCQi:_
SUBDIVISION. . . . : L.UC:I I_I._E ZONING:
Bl_OCK. . . . . . . . . . « LOT'. . . . . . . . . . . . . .2
BUILDING --__._. ._..._.__.__.__.__.---.___..__.___. _.__._......_._.__...._-.__......._..__.____._
REISSUE« DWELLING UIV I T'S: 1 13ASEMENT.. . . . . . . . :0 5f
CLASS OF WORK. :NEW DEDRIrIS:3 BATHS.2 Gfa11AGE. . . . . . . . . . ::s53 s f Y
T YF='E OF USE. . . :bF FLOOR ARE:AS--•---.___. .--- RE UU I RED SETBACKS-
TYPE
E:TRACKS.__.______-_._..
TYPE OF CONST. .51'4 F IRS7'. . . . :5F82 sf LE:F T'. . : 12 ft RIGH1'. :5 ft '
OCCUPANCY GRF'. : R3 SECOND sf F ROIVT'. -LO ft REAR. . :20 ft
STORIES. . . . . . . :2 TH I RD. . . . :IZi s f RLUU I
HE I GHI.. . . . . . . . :23 ft: T UT'AL_____._: 1 168 F SIvIOIGE= DETECTORS. .Y
FLOOR LOBI). . . . :40 p f VALUE. . . . . PARK,I IVIG SPACE:S. . : 1 1
Remar-ks : PATH 8
PLUMBING
SINKS. . . . . . . . . . : 1 FLOOR DRAINS. . . . :0 BOCKF'LOW r-'REVNTR''S. . :0
LAVATORIES. . . . . :2 WATER HEATERS. . . : 1 TRAF'S. . . . . . . . . . . . . . .0
'T'UB/SE-IOWE:RS. . . . : 1 LAUNDRY TRAYS. . . :0 CATCH . . . . . . . :0
WATER CLOSETS. . :2 SEWER LINE (ft ) . :0 GREASE 'TRAPS. . . . . . . ..VI
DISHWASHERS. . . . : 1 WATER 1._.INE: (ft ) . : IiZI0 OTHER FIXTURES. . . . . :0
r
GARBAGE r)I SP. . . « 1 RAIN DRAIN (ft ) . :VI
WASHING MACH. . . : l SF" RAIN DRAINS. : I
----------------- MECHANICAL -_.___..______.______._______.._.____..___._______ r:EES
FUEL TYPES__—_.__..__.--.....___. .- CINIT F-17'R5. . .0 type amol.Int by cJate recpt
/GAS/ / / VLNJS . . . . . :0 TIF $ 1460. 00 JH 02/10/9:3 — "
MAX Lnlr-`UT:O EITU VEN1 FANS. . «2 DFIRT $ 316. 00 JH 02/10/9:3 —
FURN ( J 00K . . : I HOODS. . . . . . « 1 BPLI; * 205. 40 JH 02/10/93 —
FURN ) —IO2iK . . :0 WOOD S'TOVES. .0 B5PC $ 15. 80 JH 0 /10/93 —
FLOOR FURN. . . . :0 CLO DRYERS. : 1 ti SDC $ 280. 00 JH 02/10/93 —
BOIL/CMP ( 3liP:0 OTHER l_1NI115: 1 PARI', Ii 500. 00 00 111 02/10/93 -
GAS OUTLETS: 1 MF'R 1 $ 37. 50 JH 02/10/93 —
Owner,: _.___.._._._._..._..... _.._..___ _._____..__.. _...____.._____._......hIF'L._C $ 9. 38 JH 02/ 1QI/93 -
NORTHLAND HOMES M5PC $ 1. 88 JH 02/ 10/93 —
18:34 SW 58TH PF'F1T $ L 10. 00 JI-I Uig/ 10/9.3 .._
P15PU $ b. 50 JH 02/10/93 _
PORI LOND OR 97221
F='hone #F: 292-3975 ==�i
NORTHLAND HOMES
1834 SW 58TH
J
1='OR TLAND OR 97221
Phone #« 292-3975
Peq #. . : 13727
2)41. 46 TOTAL
This permit is issued subject to the regulations contained in the ------ REQUIRED INSV,EC";TIONS -- - ---
Tigard Municipal Cade, State of Ore. Specialty Codes and all other Foot/foLtmi Insp Fil-eplar-e Insp
applicable laws. All work will be done in accordance with approved Post/Beam Strutt Gas L..ine Insp
plans. This Permit will expire if work is not started within 180 F='ost/Beam Mecham InsUlati.on Irlsp
days of issuance, or if work is sus r more th 180 da ' m/�_►ndslab Insp Gyp Board Insp
PL_M/F.lnder'floor Rain drain Insp
F='er mittee :iicli� �t _Ir __ F .IMechanical Insp Water Line Insp
• F'II.Tmb Top Ot_It Appy^/SdwHi Insp
Issi_ied By : _._... Fram.iTrq ITIsp lMlechanical Final
J Call for, inspec, ion 639-417
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SEWER CONNECT ION
CITYOFTIFARD PERMIT
CIiYOF11i�IRD �
COMMUNITY DEVELOPMENT DEPARTMENT «nooN PERMIT #. . . . . . . .. SWR93-0044
19126 8W fill Blvd P.O.Bart 23307,TlgaM,Orown 07223(603)6394176
SITE ADDRESS. . . : 08579 SW LLC I LLL C:T PARCEL.
SUBDIVISION. . . . : I._UC ILLE ZONING:
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . .2
TENANT NAME. . . . . t
USA IVU. . . . . . . . . . : FIXTURE UNITS. . . :
CLASS OF WORK. . . :NEW DWEA-L.T NO UTA IT S. . : 1
T YF'E OF USE. . . . . :SF NO. OF LSU I t_U I NGS: 1 �
INSTALL_ 1'YPE. . . . :BUSWR 11hPE:RV SURFACE. . : : Sf
Remark!:,: PATH 8
Owner,: - -____.____..____._._.__.._......._.____...___.........._.._..._._..__. — FEES
NORTHLAND HOMES type amoi_rrrt by date recpt
1834 SW 58TH F"M IT $ X100. 00 JH 0,_'/10/93 _
INsV, $ 35. 00 JH 02/10/93 -
PIORTLAND OR 97221
Phone #t 292-3975
Contrar.tor,:
CONTRACTOR NOT ON F'I L_E
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T-1-1 a rr a ff: 2135. 00 TOTAL
Rey #. . .
REOU I REF'D 1 INSPECT IONS — -----_
This Applicant agrees to comply with all the rules and regulations Sewer, Inspection
of the Unified Sewage Agency. The permit expires 180 days from
the date issued. The total amount paid will be forfeited if the
permit expires. The Agency does not guarantee the accuracy of the
side sewer laterals. If the sewer is not located at the measurement
given, the installer shall prospect 3 feet in all directions from
the distance given. If not so located, the installer shall purchase
a "Tap and Side Sewer" permit and gen will in tall a 1 eral.
f ermiCi:ee '. iyrr-At
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1�,s•.red B v : _.._.___.___..___...__....__._._..__.._._ _.__��____.__...._. .....__
Call for inspection 639-4175
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CITY 13123 SW Iiau Blvd, PLNCK/RECT TIGA,RD P0BoK"J97 PERMIT # M5f�j -UO y
COMMUNITY DG✓FLOPMENT DEPARTMENT 'Iigard,Orcgon97M
(503)639-4171 DATE ISSUED
JOB ADDRESS: 9s7lf Sw 44 TAX MAP/LOT /5�=3
SUB: (40 f - LOT: Z LAND USE: •
VALUATION: , c>, Z
OWNER SPECIAL NOTES •
NAME: /Vo Nom„ r,� REISSUE OF:
ADDRESS:p /d a y .s W s R� 7-`' LAST REISSUE:
Lr7 J,a.+.�� �._ `9'71 Z/ FLOOD PLAIN/
PHONE: 2 9L -- 3 9 7 5 SENSITIVE LAND:
!If
CONTRACTOR APPROVALS REQUIRED ,
sUa91 .-000y
NAME: PLANNING: 6)1/-
ADDRESS: ENGINEERING:
--- FIRE DEPT: _
PHONE: _ OTHER: - !
CONTR. BOARD #: / ? ?
�� EXP GATE:
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: /v :t LIST/SUBCONTRACTORS:
MECH: �„��a _- 1�s�_ ,� J: -U (, , ..BUS TAX: --
ARCH/ENGINEER CALCULATIONS: _
NAME: _ TRUSS DETAILS:
ADDRESS: OTHER:
PHONE:
PROPOSED BLDG. USE:
COMMENTS:
APPLICANT SIGNATURE
Received By: � � ^� _ Date Received:
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PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE
f i ve yY10-432 00 Building Permit Fees
10-431 00 Plumbing Permit Fees
10-431 01 Mechanical Permit Fees _ 3��' �"�� `�-7' �
10-230 01 State Building Tax (5%)
Building _S}w
Plumbing
Mechanical
10-433 00 Plans Check Fee
+ Building 0s , yo
Plumbing _ _
Mechanical q,, 31
10-230 06 Fire
,SuAl a0 N 30-202 00 Sewer Connection
30-444 00 Sewer Inspec 'in 3' 31'�
25-448-02 Commercial TIF Fees
25-448-04 Industrial TIF Fees
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
25-448-01 Residential Traffic Fees 1 oo /3 SU
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PDC)
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC) � v
24-445-01 Water Quality (Fee in lieu of)
24-445-02 Water Quantity (Fee in lieu of)
TOTAL 5t7e5b '� $'a1�. 4
nm/3587P.WPF
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7"— 777771
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CIJY nF• 116AND - kE.C;I'.IF'T (1F PlHYMLN'1 RE:CLIP1 NO.
CHECK AMOUNT a 4!1.'0. 46
NAME t NORTHLAND HOMES CASH AMOUN i e 0. U10
fI17iJRE>~iCi i PAYMF:NI DATE. 02/10/93
/93
SUBOJUISION t
PURPOSE OF PAYMENT AMOUNT PAID PURPOf1IW OF PAYMENT AMOUNT POID
BU1LDINO PERM 316. IAO PI._UMAING PK 110. 00 M1
MECHANICAL PE ;37, so ST. BUILD PER I=• 1B
PL.AN CHECK FF _.31. J�2 SEiW R USA r 14co. 00
,;I. WE"R INSPFCT• 35. 00 PARKFi SiDC 500. 00
':STORM DRAIN SIX, 280. 00 F1r'SIDMNrIAI._ TRAF=FIC FEE-13 1350. 0111
MASS TRANSIT TIF FEE.Ei 110. 00
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